NPI | 1285678227 |
---|---|
Former Name | RHODNEY JAMES SERVEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111321) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 6023642) |
363A00000X Physician Assistant (Licence: WA PA10004997) | |
363A00000X Physician Assistant (Licence: NY 14837) | |
Enumeration Date | 2006-06-16 |
Last Update Date | 2023-05-26 |